updates the fee schedule for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.

Updates the supplemental payment methodology for Critical Access Hospitals (CAHs).

Eliminates community based extended and community based transitional level of care.

amends rate year ((RY) 2022 updates to reimbursement methods and standards for privately-owned psychiatric hospitals, and administrative updates only for substance abuse treatment hospitals.

Amends provisions governing reimbursement for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in order to establish an alternative payment methodology which would allow reimbursement outside of the
current Prospective Payment System rate for community health worker services provided in FQHCs and RHCs.

increases the rate for pediatric personal care services.

Disproportionate Share Hospital (DSH) Medicaid Shortfall Adjustments due to CAA 2021 and Other Technical Adjustments

alternative payment methodologies for mobile dental services and bundled payment requirements.

outpatient hospital annual review and inflationary increases.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to revise the previously approved date for payment of retention bonuses to direct support workers pursuant to the American Rescue Plan Act (ARP) of 2021, Section 9817 (Pub. L. 117-2). Payment by agencies to staff must occur between July 1, 2021 and December 31, 2022.